Silicone Adenopathy and Intractable Axilary Pain after Breast Implant Augmentation - Case Report

Cucoreanu, Ciprian; Andras, David; Caziuc, Alexandra; Făgărăşan, Vlad; Rogojan, Liliana; C, Anca; Dindelegan, George-Calin

doi:10.21614/chirurgia.116.2.248

Cited by 3 publications

(2 citation statements)

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“…1 A and B). This snowstorm phenomenon has been validated by multiple studies with histopathological confirmation [ 13 , [17] , [18] , [19] ]. Given the observed high sensitivity and specificity of ultrasound in these studies for silicone detection in axillary lymph nodes, we regarded ultrasound as the gold standard in the current study for the assessment of silicone depositions in axillary lymph nodes.…”

Section: Methodsmentioning

confidence: 80%

Ultrasound versus MRI for evaluation of silicone leakage from silicone breast implants

Spit,

Azahaf,

de Blok

et al. 2024

Heliyon

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Section: Methodsmentioning

confidence: 80%

Ultrasound versus MRI for evaluation of silicone leakage from silicone breast implants

Spit,

Azahaf,

de Blok

et al. 2024

Heliyon

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“…Sin embargo, hay autores que sugieren comenzar con tratamiento médico, como el empleo de analgésicos, antiinflamatorios e inmunomoduladores, y no realizar tratamiento quirúrgico, a menos que la paciente presente síntomas, tenga significativas alteraciones estéticas o se interfiera con la detección de carcinoma de mama, en caso de cirugías reconstructivas. (11,12,13)…”

Section: Discussionunclassified

Linfadenitis axilar por silicona. Presentación de un caso diagnosticado por punción aspiración con aguja fina

López¹,

Soto²,

Santana³

2022

ArchPat

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La linfadenopatía por silicona es una rara complicación en pacientes con implantes mamarios, a menudo es confundida con tumores primarios o secundarios. Se trata de una paciente femenina de 42 años, con implantes mamarios desde hace 12 años, que consulta por presentar dolor y aumento de volumen axilar bilateral. Se realizó ultrasonido, mamografía y punción aspiración con aguja fina, donde se apreciaron: histiocitos y células gigantes fagocitando las partículas de silicona, entremezclada con linfocitos. Hicieron explante de las prótesis y vaciamiento axilar del primer nivel bilateral. El caso reportado evidencia la utilidad de la punción aspiración con aguja fina como herramienta para el diagnóstico diferencial de adenopatías axilares en pacientes con prótesis mamarias.

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Silicone Lymphadenopathy Following Augmentation Mammoplasty With Silicone Implants

Rosenthal,

Goldbart Nahmias,

Heller

et al. 2024

Aesthetic Surgery Journal

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Background Silicone implants claim the predominant share in global implant usage for breast augmentation. Despite technological advancements, complications persist, with silicone lymphadenopathy (siliconoma) being a noteworthy concern. This phenomenon has been inadequately addressed in the existing literature. Objectives To characterize axillary siliconomas and identify potential risk factors to help reduce their occurrence. Methods The authors conducted a retrospective observational cross-sectional study spanning between 2011 to 2021 at the Shamir-Assaf Harofeh Medical Center. Preoperative ultrasound examination was conducted, categorizing patients into those with siliconomas and those without. Results A total of 614 women (1209 breasts) met the inclusion criteria. The incidence of siliconomas was 13.6% (165 breasts). In univariate analysis, older age (age 47 years vs. 43 years, P < 0.001), older implant age (12.2 vs. 11 years, P = 0.026), ruptured implants (59.4% vs 17.7%, P < 0.001), subpectoral placement (P = 0.019), severe capsular contracture, and the use of Mentor implants (Irvine, CA; P = 0.007) and Poly Implant Prothèse implants (PIP; La Seyne-sur-Mer, France; P = 0.001) correlated significantly with the presence of siliconomas. In a multivariate analysis, implant rupture (OR = 6.342), and implant manufacturer - Mentor (OR = 3.047) and PIP (OR = 3.475), were identified as independent risk factors associated with a higher incidence of siliconomas. Severe capsular contracture was associated with higher incidence of siliconomas as well (OR = 1.65). Conclusions Surgeons should inform candidates about the potential risk of silicone migration. Patients with ruptured implants, significant capsular contracture, Mentor and PIP implants face an increased risk for developing siliconomas. Closer monitoring for the detection of siliconomas in the axilla for these patients is advisable, potential prophylactic replacement or removal of implants may be warranted to mitigate siliconoma risk.

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Silicone Adenopathy and Intractable Axilary Pain after Breast Implant Augmentation - Case Report

Cited by 3 publications

References 0 publications

Ultrasound versus MRI for evaluation of silicone leakage from silicone breast implants

Ultrasound versus MRI for evaluation of silicone leakage from silicone breast implants

Linfadenitis axilar por silicona. Presentación de un caso diagnosticado por punción aspiración con aguja fina

Silicone Lymphadenopathy Following Augmentation Mammoplasty With Silicone Implants

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